Week 5

Formulas takes half a life time to understand,
from the multiple levels of understanding

Respiratory issues in TCM can be a class by itself.

Wheezing IS a sound of phlegm
Panting, hasty panting, tuan, rapid and shallow.
Possible to have panting without wheezing, but wheezing has to be with panting
Short of breath, easily winded, is also part of panting.

Zong Qi is Lung/Heart Qi combo, + throat qi, + others
Lack of Zhong Qi would be disinclination to speak

Replete Heat, heavy respiration
Deficient = faint resperation, slow, shallow.
Lungs governs the exhale
KD governs the inhale

Bowel Sounds
Thunder-like sounds = wind cold damp.
Vacuity = low volume sounds
Water Rheum - ST/Intestines (Yang Ming)= Water sounds Rhuem is thicker than water, thus traps water.
If Yang Ming is weak, then bowel sounds + feeling like hunger. = Vacuity Cold
Wind = Bowel sounds + diarrhea maybe flatulance
Damp = Sounds + distension
Cold = High pitch, grey whales sound + spasms, ab pain.

Sighing
Both voluntary and involuntary
Classic
Breath - Sudden in/out = rib side distension, = LV Qi Stagnation

Hiccups/Hiccough
Acute = Replete Heat or Cold
Enduring = Go see Doctor.
Heat binding the stool leads to hiccups Purge LI with Da Huang
Vacuity Hiccups = Sp Yang Xu
Loudest hiccups = Food Stagnation/ possible heat binding the stool, do both.

Eructation (Belching)
Replete/Vacuity
Replete = Longer belches
Food stagnation transforming heat/bad breath + distention + acid regurgitation
Vacuity = Shorter belches
Sp Qi Xu = leads to no smell, no taste
LV Qi = LV attack St = Stress, frequent, loud and clear belches

Speech
1 Zong Qi
2 Heart
Taciturn = disinclination to speak
Vacuity/Cold = disclined = quite volume
LV Qi
Replete (heat) = Chatter
Disinclined = Xu = Qi Xu
OR LV Qi = Pissed off so not to talk
High Fever = Heart unable to house the Spirit = Incoherent Speech
Heat agitation = Phelgm Fire harassing the portals = unintentional/mistaken

Voice
1 Zong Qi
2 Lung Qi
Volume = Replete/Vacuity
Coarseness = Wind Cold
Complete loss of voice = aphonia = Stroke or Wind Cold/Wind Damp

Vomiting and Nausea
Replete/Vacuity
Differentiate

Urination
Frequency
Hot or Cold = KD Qi governs front Yin
Quantity
Hot or Cold = Totalness
Color
Hot or Cold